Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Petaluma Emergency Physicians Medical Corporation

Organization Emergency Medicine Physician · NPI 1649201898

Petaluma Emergency Physicians Medical Corporation is an Emergency Medicine Physician in Petaluma, California. Licensed in California. Registered with an NPI since 2006.

Licensed in
CA
In the registry since
2006
Specialties on file
2

Practice location Address checks out

400 N McDowell Blvd
Petaluma, CA 94954-2339
Phone: (707) 778-1111
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X
Critical Access Hospital Taxonomy 282NC0060X · Licence G69103 (CA)

Record details

NPI number1649201898
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Henry Fong — Medical Director · (707) 778-1111
NPI enumeratedJuly 6, 2006
Last updated in NPPESMarch 28, 2024
Certification dateMarch 28, 2024
Mailing addressPo Box 4419, Woodland Hills, CA 91365-4419

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